{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,26]],"date-time":"2026-06-26T17:48:29Z","timestamp":1782496109339,"version":"3.54.5"},"reference-count":9,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"2","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:p>Gartland type IV supracondylar humerus fractures in children are characterized by complete periosteal disruption and multidirectional instability, frequently resulting in failure of standard closed reduction maneuvers. Persistent rotational instability is the primary factor leading to loss of reduction and the subsequent need for open reduction. Although open reduction is effective, it is associated with increased soft-tissue dissection, longer operative times, and a higher risk of postoperative stiffness and neurovascular complications. We describe a temporary lateral cortical pin\u2013assisted closed reduction technique that facilitates controlled rotational correction while preserving lateral cortical alignment. After restoration of lateral cortical continuity under fluoroscopic guidance, a temporary lateral Kirschner wire is inserted to act as a hinge, stabilizing the reduction and allowing precise rotational adjustment of the distal fragment before definitive fixation. Definitive stabilization is then achieved with standard percutaneous pinning, most commonly using a lateral-only configuration. This technique is simple, reproducible, and may expand the indications for successful closed reduction, thereby reducing the need for open reduction in selected Gartland type IV supracondylar humerus fractures.<\/jats:p>","DOI":"10.1097\/bth.0000000000000555","type":"journal-article","created":{"date-parts":[[2026,3,24]],"date-time":"2026-03-24T14:00:13Z","timestamp":1774360813000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Temporary Lateral Cortical Pin\u2013Assisted Closed Reduction Technique for Gartland Type IV Supracondylar Humerus Fractures in Children"],"prefix":"10.1097","volume":"30","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1565-9620","authenticated-orcid":false,"given":"Emin C.","family":"Balci","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2026,6]]},"reference":[{"key":"R1-20260626","doi-asserted-by":"crossref","first-page":"68","DOI":"10.1007\/s43465-020-00285-2","article-title":"Supracondylar humerus fractures: classification based treatment algorithms","volume":"55","author":"Shah","year":"2021","journal-title":"Indian J Orthop"},{"key":"R2-20260626","first-page":"e24.00011","article-title":"Predictors associated with the need for open reduction of pediatric supracondylar humerus fractures: a meta-analysis of the recent literature","volume":"9","author":"Transtrum","year":"2024","journal-title":"JB JS Open Access"},{"key":"R3-20260626","doi-asserted-by":"crossref","first-page":"859","DOI":"10.1186\/s12891-022-05798-5","article-title":"Predictive factors for open reduction of flexion-type supracondylar fracture of humerus in children","volume":"23","author":"Sun","year":"2022","journal-title":"BMC Musculoskelet Disord"},{"key":"R4-20260626","doi-asserted-by":"crossref","first-page":"101893","DOI":"10.1016\/j.jcot.2022.101893","article-title":"Factors associated with conversion to open reduction of type 3 supracondylar humerus fractures in children","volume":"30","author":"Ondina","year":"2022","journal-title":"J Clin Orthop Trauma"},{"key":"R5-20260626","doi-asserted-by":"crossref","first-page":"871","DOI":"10.1007\/s00590-021-02932-2","article-title":"Overview of the contemporary management of supracondylar humeral fractures in children","volume":"31","author":"Duffy","year":"2021","journal-title":"Eur J Orthop Surg Traumatol"},{"issue":"S3","key":"R6-20260626","first-page":"e2021015","article-title":"Supracondylar fractures in children: management and treatment","volume":"92","author":"Micheloni","year":"2021","journal-title":"Acta Biomed"},{"key":"R7-20260626","doi-asserted-by":"crossref","first-page":"198","DOI":"10.55095\/achot2023\/023","article-title":"A meta-analysis on comparison of open vs closed reduction of Gartland type 3 supracondylar humerus fractures in children","volume":"90","author":"Barik","year":"2023","journal-title":"Acta Chir Orthop Traumatol Cech"},{"key":"R8-20260626","doi-asserted-by":"crossref","first-page":"50","DOI":"10.5152\/j.aott.2023.22049","article-title":"Comparison of 4 surgical approaches in pediatric Gartland type 3 supracondylar humerus fractures treated by open reduction and pinning: a multicenter study","volume":"57","author":"Yavuz","year":"2023","journal-title":"Acta Orthop Traumatol Turc"},{"key":"R9-20260626","doi-asserted-by":"crossref","first-page":"791","DOI":"10.3390\/children11070791","article-title":"Complications and outcomes of surgically treated pediatric supracondylar humerus fractures","volume":"11","author":"Hahn","year":"2024","journal-title":"Children"}],"container-title":["Techniques in Hand &amp; Upper Extremity Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.lww.com\/10.1097\/BTH.0000000000000555","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,26]],"date-time":"2026-06-26T17:00:33Z","timestamp":1782493233000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.lww.com\/10.1097\/BTH.0000000000000555"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,3,24]]},"references-count":9,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2026]]}},"URL":"https:\/\/doi.org\/10.1097\/bth.0000000000000555","relation":{},"ISSN":["1531-6572"],"issn-type":[{"value":"1531-6572","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,3,24]]},"assertion":[{"value":"2025-12-20","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-03-05","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}